NPI | 1437325495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 16089) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 16089) |
101YP2500X Counselor, Professional (Licence: TX 16089) | |
Enumeration Date | 2008-04-30 |
Last Update Date | 2011-08-08 |